Category Archives: adhd

The appeal to Medicaid to further fund services has been denied. As a result, I will be picking up David from the facility on Monday. We then come home to begin a new chapter in our lives as a family. We had an IEP meeting for him this morning. Short term he will be homebound working on school materials supplied by the district. Long term we are applying to a day program for him. During the IEP meeting we got a look into the life of David. Minimum five hours a week of intensive group therapy. Weekly individual therapy. Weekly family therapy. He is in a self-contained classroom for all but two classes. Those two classes are Art and Physical Education. His therapist makes regularly daily contact throughout each day to ensure that David knows she is checking on how he is doing. He has 24×7 staff support of some

Ironically, the day after we receive notice of denial of coverage of services for our son, is the anniversary of his placement at the current facility. It has been one year since we placed David in a facility 500 miles from home. Today, I am struggling with the stress of not knowing where we are at with my youngest son’s mental health treatment. The denial of continued care is weighing heavily on my mind, and it will be Tuesday before I can file any appeals. He deserves better than this from the system that is responsible in part for his care. When we adopted him, he was ordered by the court to have complete state sponsored medical coverage until he turns 18. This is Medicaid. It isn’t safe for anyone for him to come home. Even the staff that works with him day to day has said that. A month

So what else is new? right? Received this notice from the facility where our son resides. I am sure you will be receiving a hard copy in the mail, but I wanted to notify you that as of 1/10/2015, David’s Medicaid has denied coverage for residential care and we were notified of this yesterday. (See attached letter) Facility is currently in the process of appealing this decision. I will keep you notified of the results of the appeal process which will be submitted early next week. They enclosed a copy of the notice that they received from the determination company that is under contract to our state Medicaid. The rationale for this decision is: David is a 13 year old boy who is diagnosed with Bipolar disorder and pervasive development disorder. He was in a residential setting in North Dakota for over a year and transferred to the